Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LAWRENCE P FORMAN III, R.D.
ActiveRegistered Dietitian · SHIPROCK, NM
Registration Details
- NPI Number
- 1174553515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (19.812671207168 yrs)
- Last Updated
- Aug 14, 2008
- License
-
471 (NM)
Practice Information
- Address
-
US HIGHWAY 491 NORTHSHIPROCK, NM, 874200160Browse NM providers · Browse ZIP 87420
- Phone
- 5053686204
- Fax
- 5053686265
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in SHIPROCK, NM
| Name | Credential | NPI |
|---|---|---|
| MS. LORRAINE WHITEHAIR | RD | 1033108790 |
| MS. HOLLI M SCOTT | RD | 1215928890 |
| MS. MIRANDA SW YANG-OSHIDA | RD | 1639160237 |
| BEVERLY CRAWFORD | RD | 1619954344 |
| JOANN LAMEMAN | LD/RD | 1780777185 |
| MS. KARI ROSE WATO | RD | 1851455273 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.